HomeSelf Assessment Self Assessment BackgroundReview of Current PracticeSleep AssessmentSleep Management Tools & TechniquesHypnotic Withdrawal ProgrammeSleep ConsultationFinal AssessmentContact Us Section Home →Evidence →Comorbity →Self Assessment → Sleep Assessment Benefits of sleep assessment – A 35-year old man has difficulty sleeping over the past month. You decide to assess him using an insomnia severity index (ISI) and sleep diary. Which is the SINGLE most likely benefit of using sleep assessment tools (ISI and sleep diary) in the primary care consultation? * To assess severity of sleep apnoea To define the sleep problem in more detail To determine the underlying causes of insomnia To identify specific causes, e.g. restless legs syndrome To measuring the severity of depression <strong>Answer: To define the sleep problem in more detail.</strong> Sleep assessment tools help to define the severity and nature of the sleep problem in more detail. The tools which are most appropriate for primary care (ISI and sleep diary) do not assess sleep apnoea, depression and nor do they screen for comorbid or specific causes of insomnia. Reference: National Institutes of Health. NIH State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults. NIH Consens State Sci Statements 2005; 22(2):1-30. Abnormal sleep patterns – A 34-year-old man takes 1-2 hours to get off to sleep but then sleeps 7 hours each night. Select the most likely abnormal sleep pattern for the patient detailed above. * Early morning wakening Impaired sleep efficiency Increased total sleep time Reduced total sleep time Sleep onset latency Wake after sleep onset <p><strong>Answer: Sleep onset latency </strong></p> Abnormal sleep patterns – A 45-year-old man gets off to sleep easily but then wakes for 15-20 minutes at a time 3-4 times every night. Select the most likely abnormal sleep pattern for the patient detailed above * Early morning wakening Impaired sleep efficiency Increased total sleep time Reduced total sleep time Sleep onset latency Wake after sleep onset <strong>Answer: Wake after sleep onset </strong> Abnormal sleep patterns – A 23-year-old woman sleeps for 7 hours and wakes unrefreshed after spending 9 hours in bed. Select the most likely abnormal sleep pattern for the patient detailed above. * Early morning wakening Impaired sleep efficiency Increased total sleep time Reduced total sleep time Sleep onset latency Wake after sleep onset <p><strong>Answer: </strong><strong>Impaired sleep efficiency</strong></p> Sleep assessment tools – A 43-year-old man has been having severe sleep problems for over a year with chaotic waking and sleep onset times, occasional napping during the day and a reported time in bed of 3-4 hours each night. You decide to assess his sleep pattern in primary care. Which is the SINGLE most appropriate sleep assessment tool for this patient? * Actigraphy Insomnia severity index Pittsburgh Sleep Quality Index (PSQI) Polysomnography Sleep diary <strong>Answer: </strong><strong>Sleep diary</strong> The ISI is useful for assessing severity whereas a sleep diary can help determine the pattern of sleep disturbance. The Pittsburgh Sleep Quality Index (PSQI) is a standard research outcome measure but is too complex to be routinely used in primary care. Actigraphy and polysomnography are specialist investigations. If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit Previous Next
